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The effect of the compression of the fourth ventricle (CV4) on uterine contractions at term – A quasi-experimental study

Journal: Journal of Complementary and Integrative Medicine Date: 2016/10, 13(4):Pages: eA18-eA19. doi: Subito , type of study: pretest posttest design

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2016-0102/html)

Keywords:

childbirth [35]
contractions [2]
CV4 technique [14]
female [399]
labour [1]
pilot study [134]
pretest posttest design [140]
uterus [6]
women [353]

Abstract:

Background: Studies have indicated that it is favorable for pregnant women to be medically induced before 42 weeks. Presently, available labour induction methods all have secondary effects. The compression of the fourth ventricle (CV4), a manual osteopathy technique, has been said to start uterine contractions, but insufficient evidences exist to support it. Objectives: The study of the effect of the CV4 on uterine contractions on pregnant women at term. This was to assess the potential use of this technique as an induction method and its safety on this population. Methods: Open pilot study. Patient recruitment was done through interested and consenting women (40+ weeks pregnant) of the Three Sisters Obstetric and Family Medicine Clinic, Canmore, Alberta. The number of uterine contractions were measured by a professional using an external tocography unit 20 minutes before and after the CV4 technique. The CV4 was applied by a manual osteopathy therapist student of the Canadian College of Osteopathy. Results: Using Non-parametric testing, the result of a sample of 8 women held a P-value Wilcoxon signed-rank test of 0.1624 is > 0.05. Conclusion: This did not allow us to conclude that the number of contraction following CV4 increased. Further studies needed including women who have reached 38-week of pregnancy, or had previous c-section deliveries, and, measuring the change in the frequency of the contractions post CV4.


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